| NPI | 1447610886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 25142) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2020-0333) |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2024-07-03 |